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Birthing Plans - Page 2

post #21 of 39
Thread Starter 
It's encouraging to see how many choices we have to reach the same goal--having healthy babies. I'm excited about natural childbirth and scared at the same time. I think I'm more afraid of my low pain tolerance and my high irritability level. Not a good combination. But, my husband and I are talking through all of these things and trying our best to be prepared for the unexpected.
post #22 of 39
My first birth was at the hospital with my fp attending. It didn't go quite as "planned," but it was a good experience and the changes were due to things outside my control. I was unmedicated, and ds was born healthy and active.

This time I'm planning a homebirth. I want a quiet, more intimate and peaceful birth this time around. Also, ds's birth was fast. If the next one's even quicker, I'd rather have the midwife coming to me than be rushing to the hospital or delivering on the side of the road.
post #23 of 39
Regarding rupturing of waters and the 24-hour countdown clock (12 hour at some hospitals)..... remember you can "lie"!

I knew my OB was uncomfortable with the idea of my water breaking and then not delivering right away (we talked about it beforehand...going over your birth plan with your OB/midwife is SO INFORMATIVE!! ). He said his "comfortable limit" is giving 12 hours between water breaking and birth.

Sooooo...when my water broke at home, 10am on Saturday morning, I spent twelve hours working to bring labor on. For 10 or so hours, I didn't have any regular contractions, but I was leaking a lot of fluid so I knew labor would eventually start (_The Birth Partner_ book). I also knew that since the fluid continued to be clear and odorless that things were probably okay infection-wise. I went for several walks, hung out with dh, ordered some Chinese food, and about 12 hours after my water broke I was having regular contractions and went to the hospital.

When we arrived at the hospital I said my water had *just* broken. Ds's head was so low now that it had blocked the flow of fluid, so they did a quick test, found remnants of amniotic fluid, and that was that--according to my charts, my water broke at 10pm, not 10am that morning. That gave me an extra 12 hours of argument-free birthing time, 24 hours in all, and as it turned out I NEEDED that extra time!! My sons were born 25 hours after my water broke.

For anybody worried about labor restrictions at hospitals (or even with some midwives) once your water breaks, I really encourage you to spend time laboring at home and fudge the times. It extends your "countdown," relieves a lot of pressure, and as long as you are educated about what's normal and not normal about amniotic fluid (can't emphasize that enough), you can feel pretty comfortable with taking charge of your own labor and staying at home until the hospital/midwife call is necessary.

Then again, it's all about what you're comforable with....I felt very confident about delaying medical involvement, but I'd only advocate that kind of behavior if it's something you're comfortable with, too.
post #24 of 39
I went to the dr yesterday and we discussed briefly the possibilities *if * in fact my dh would have a specific time he would be around to come to the birth. I expressed that I had heard that pitocin makes things very painful and that I was concerned about problems that early induction might cause. He told us that "everyone is different" that pitocin effects people differently and he has had people go natural on pitocin, and he has had people ask for an epi after the very first pitocin induced contraction. As far as complications, he said that they would not schedule an induction more than a week and a half to two weeks before she was due, and that that should avoid any problems.... but in the end.... If we didn't induce, that woould be the very best for everyone. We are still hoping we won't have to do that!
He also told us that they have thier own "more practical class" that answers questions that we might not know to ask about the birth process and all and that he highly reccomended that we do that sooner than later, just so we both are able to be there for sure.
I wish there was more certainty...
After reading that very detailed birth plan that I saw on page 1, I realized that I have alot of things sorted out already - like the delayed cord cutting, feeding prefrences, etc.. Is there a template or something that can be downloaded that could be filled in with your plans?
post #25 of 39
Wow! Analisa, that's quite a birth plan!

You might consider adding to your cesarean part that you would like a two-layer repair rather than a one-layer. Ina May Gaskin discusses it in her book Ina May's Guide to Childbirth. She says evidence suggests the quicker, faster-healing one-layer repair of the uterus leads to a drastic increase of placenta accretia, a very dangerous and formerly rare condition (see http://www.midwiferytoday.com/enews/enews0434.asp#main ). May be worth considering.
post #26 of 39
I think Kam has a good point about birth plans...it can be heartbreaking for some women when their actual birth doesn't match their dream or "birth plan" birth. It's definitely worthwhile to mentally prepare yourself for a birth that goes in a different direction than you thought!

That being said, I think drawing up a birth plan (and especially going over it with your OB/midwife) is really empowering and confidence-inspiring. Plus, if you DO deliver at a hospital and your OB has signed off on your birthplan, you can use it to squash any flack you might get from other nurses/doctors that don't agree with your choices.

Here are some templates I found, plus some examples of others' birth plans:
Check-the-box birthplan (with write-in space):
More detailed check-the-box: http://www.childbirth.org/interactive/ibirthplan.html
Simplified check-the-box, plus samples: http://www.amazingpregnancy.com/birthplan/
sample of VBAC birthplan:
cool page of birthplan info: http://www.babyworld.co.uk/informati...an/newmain.asp
UK home birth plan:
post #27 of 39
Originally Posted by kellykins
Please don't throw stones or rocks...or anything else not soft haha...

How terrible is being induced?

I may be considering this as an option- ONLY if certain things happen with my husband's job... I don't know if I can bear not having him there for our first child's birth...
ONLY AND ONLY if his job stuff happens the way it looks like it might will this be something I will be EVEN considering!!!
Have you considered getting a back-up person? Or hiring a doula, who'd be useful even if your dh can be there?
post #28 of 39
Originally Posted by kellykins
Please don't throw stones or rocks...or anything else not soft haha...

How terrible is being induced?

I haven't read the rest of the thread, so I know how others have respondes. Please forgive me if this is the same info!

Be careful getting induced! If baby isn't ready to be born, you may start a chain of interventions that ultimately leads to an unwanted c/s. I was lucky with dd #2 -I was induced and since she wasn't ready, she was posterior and labor was very painful. I had a fear of needles in my back, so I had no epidural, but I was strapped to the bed with ivs and internal monitors. I was lucky that she finally turned and I was able to have a vaginal birth, but there was meconium because she was in distress and it took a good three minutes to get her breathing once she was out. I guess my advice to you is to be careful and only be induced if it's absolutely the only way you dh can be present. If a c/s becomes an issue, it's so hard to have a VBAC in later pregancies - you have to fight for it and it's stressful!
post #29 of 39
Gosh, Maggi, thank you so much for that suggestion! I added it immediately.
post #30 of 39
Here's a copy of the birth plan we used. We called it "Our Birth Preferences." The first page was basically just sucking up to the hospital staff, highlighting the main points, and trying to set up a cooperative rather than combative tone.

The second page very simply outlined our preferences. I didn't end up getting everything in the "plan," but in the main the birth was what I wanted, and a very positive experience. Our doula was priceless, as was having a great doc who delivers her patients even when she's not on call! You can read my son's birth story in the birth story section to compare the actual birth experience to the "plan."

This plan isn't perfect. If I were doing it over again, I'd probably change a few things (skip eye drops all together and possibly vit k shot, too). But it might give you some ideas.

Our Birth Preferences
We are writing down our wishes for childbirth in order to facilitate better communication, as we may not be in the calmest of emotional states when labor day arrives! We realize that birth can not be “planned” and that unexpected complications may cause a need for interventions we had hoped to avoid. In the end, we recognize that the most important outcome is the safe birth of a healthy baby!

The following statements summarize our wishes, and should give you an idea of the type of birth we would prefer. A detailed list of preferences is provided on the next page, to be used as a reference to specific issues that may arise during the course of labor and delivery.

•We wish to experience a natural childbirth without the use of pain medications or unnecessary interventions. We feel this will be possible with the encouragement and support of our doctor, , the labor and delivery staff, and our birthing assistant.
•We would like a calm, intimate environment in which to labor. We request that any friends or family members arriving at the hospital be invited to stay in the waiting room where they will receive periodic updates.
•Bonding with our newborn and facilitating breastfeeding is very important to us. To this end, we would like the post-birth baby care to be done while the baby is in Mom’s arms. We also want to delay the administration of eye drops and vitamin K shots. And, we would like an hour or two of visitor-free bonding time after the birth of the baby.

Thank you for taking the time to read our childbirth preferences. Your medical expertise and experience are invaluable resources on which we depend. We may get too preoccupied to express this at the time, but we are very grateful for your assistance and support!

We will be laboring at home and plan on staying there until the time is right to go to the hospital.
We will be focusing on several positions for labor including but not limited to walking, dancing, hydro-therapy, hands & knees, squatting, and side lying.
We want vaginal exams to be kept to a minimum, preferably only when we request them.
We do not want the amniotic sac ruptured.

We will only agree to monitoring on a limited intermittent basis. We will not compromise the position we are using in order for the monitors to be used.

Labor augmentation/ induction
We would rather not have to use any form of induction, but if it becomes medically necessary for the health of our baby, we wish to try natural forms of induction before using any other courses of action.

Pain management
We would like to labor without medication and appreciate any support you can offer regarding our decision.

Second stage/Episiotomy
When fully dilated, we will be pushing instinctively and, unless there is no progress, would prefer to continue on that course until our baby is born.
We are open to various positions for pushing and would appreciate any suggestions.
We would like to use a mirror.
We do not want an episiotomy unless there is indication that the baby is in distress and needs to be delivered immediately.

Immediately after birth
Please place baby directly on Mom’s abdomen.
When the umbilical cord stops pulsating, dh would like to cut it.
Please conduct the post birth baby care while the baby is in Mom’s arms.
We would like to donate the cord blood to the blood bank.
Please wait to administer eye drops and the vitamin K shot to allow for maximum bonding time.

Newborn care & feeding
If the baby needs to be warmed, we would like to use kangaroo care.
We would like to initiate breastfeeding as soon as possible.
The baby will be rooming in with us.
Please do not offer our baby any supplements to breast feeding.
We do not want our baby to be given any form of artificial nipple.
We do not want our baby vaccinated for Hep B during the hospital stay.

Photo and video
We reserve the right to take photos during labor and after the baby’s birth.

If our baby is a boy, we do not want him to be circumcised.

Cesarean section
By using natural childbirth methods, avoiding medication, limiting unnecessary interventions, and utilizing various labor and birthing positions, we hope to reduce our chances of receiving a cesarean section. If a cesarean section should become necessary, we would like the baby to be reunited with us as soon as possible to facilitate bonding and breastfeeding.
post #31 of 39
We are planning another homebirth (HBAC #2). Everything went pretty well last time - I just hope I don't have amniotic fluid gushing out of me for 56 hours before the birth again! I will also not take any castor oil no matter how late I am! Hopefully I can be patient and let my body do it's thing. I don't have a history of quick labor which is good because my midwife will have to drive two hours to get here. I love to try a waterbirth again, but unless this baby is considerably smaller than my others, it's have stuck shoulders and I'd just have to climb out of the tub with the top of the baby's head sticking out of me. Maybe I'll use the tub for pain management and get out when it's time to push - I guess we'll see as it gets closer.
post #32 of 39
Due to a maternal-fetal blood incompatibility (antibody- c/antigen-c), I will be unable to have the hba2c that I'd been planning. I absolutely must have a hospital birth, and there is no way my doctor will allow a vba2c, so..... this will be c-section #3 for me.

My dh will stay with the baby from the moment it's born and make sure our wishes are followed. There will be no erythromycin in the eyes and no Hep B administered. Typically, we wouldn't authorize vitamin K, either, but since the baby will need numerous blood tests at birth and very possibly blood transfusions, we will go ahead and administer vitamin K this time. If the baby ends up in NICU, we already know that they call the shots and all I can insist upon is breastmilk, not formula, be given. But aside from that, my experience with NICU twins showed me that the docs/nurses in there pretty much do what they feel is necessary, regardless of whether you want them to do it. It's my big prayer that this baby doesn't need NICU time.

I'm resigned to the c-section. It isn't what I wanted, but I'm unwilling to risk my child's life to avoid surgery. And since the baby will be born anemic and needing immediate intervention, everyone, even my midwife, said I really needed to consent to a hospital birth (and she wouldn't have agreed to keep me as a client, anyhow). So....that's what I'll be doing. Oh joy (not).

On a good note, my best friend will be flying over from Florida to stay in my room with me and keep the baby OUT of the nursery (assuming, again, that it's not in NICU).
post #33 of 39
, Kate.
post #34 of 39
I DO NOT want to put my little one under any undue stress. We are going to try everything we can to get around induction. I mean, it would not be my first choice, obviously, and hopefully we will know soon wether tht is what we need to be thinking about or not. I put together a plan from that brithplan webpage- thanks for that! and the plan assumes no induction will take place.
post #35 of 39
Thread Starter 
I love reading everybody's birth plans. I haven't yet written out an actual plan but will do so soon. I had one with my daughter and told the nurses to tear it up and give me the medication. I was medicated and really had a great experience and my daughter was healthy and wonderful.

My husband and I recently found out that I'm a carrier for the genetic deficiency he has so our baby has a 50% chance of either being simply a carrier like me or having the genetic deficiency like my husband. Since the defiiciency can cause early childhood chirrosis of the liver and hepatitis, we are even more dedicated to a non-medicated childbirth. We had been planning a non-medicated childbirth all along, we just have more motivation now.

There are so many horror stories about hospitals so I am afraid to deliver there but I really really like my OB and she can't deliver anywhere but a hospital so I'm torn. Currently, I'm looking into birth centers rather than hospitals for a more supportive non-medicated birthing experience. Has anyone had supportive non-medicated deliveries in a hospital?
post #36 of 39
I did! Unmedicated birth of twins, one breech, and it was a "high risk" pregnancy. ( sounds like bragging, I know, but such things can be done in a hospital, and happily!)

If you're uneasy about giving birth in a hospital, you can either change the venue (a birthing center is a good option), or do everything in your power to make the birth you want possible. If you want to be truly ready for an unmedicated birth, then that will take a lot of dedicated work on your part and on your partner's part, too. Whether or not you want to try Bradley classes (which have a GREAT success rate for non-medicated births in hospitals), you will probably want to do a lot of reading on the details of birth and, if you want the odds in your favor, hire a doula.

Between educating yourself, taking Bradley classes, and hiring a doula.... well, let's just say you'll have every possible base covered! Nothing's a guarantee, but effort never hurts!

BTW, I think two useful books are "The Birth Partner" by Penny Simkin and "The Bradley Birth" (title might be off??).... The birth partner is a well-rounded book, covering the plus and minus of every birth option. The Bradley birthing book is very militantly against using pain meds, but some of the mental exercises in it, and the descriptions of labor "types" are SO useful.

I'm sure others could give you great recommendations, too!
post #37 of 39
Thread Starter 
Thank you for the reply. We started our Bradley classes three weeks ago and are doing our exercises and nutrition regiment. I'll look up those books you recommended. I think my mindset needs to be really set and my determination really strong. So far, I've read the Bradley book, "Husband-Coached Child Birth" and "Birthing Naturally" by Peggy O'Mara. I just got in the mail, "Childbirth without Fear" and "Natural Childbirth the Bradley Way." I'll add your recommendations to the list. Reading helps me a lot! I'm glad to see success stories of Bradley births. Some of the propaganda gets annoying in class but I think the lessons and methods are really good. Now... if I can just get my husband to calm down too.
post #38 of 39
I'm planning on going with the flow. I would like to attempt a VBAC. My first was frank breech and I didn't opt for the Dr. to attempt to turn her. I had an awesome C-Section experience, my daughter was born at 38 weeks and weighed 9lbs 2 oz. I'm very nervous about a vaginal birth especially given I'll probably have a big baby (it's in the genes). The thought of uterine rupture is also very scary but I'm going to go with the flow.
post #39 of 39
Yay for VBACs! There is lots of good info and support at the VBAC forum here at MDC.
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